Healthcare Provider Details

I. General information

NPI: 1407403082
Provider Name (Legal Business Name): VICTORIA KURYLUK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2019
Last Update Date: 10/15/2021
Certification Date: 10/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 10TH AVE N
BILLINGS MT
59101-0703
US

IV. Provider business mailing address

2800 10TH AVE N
BILLINGS MT
59101-0703
US

V. Phone/Fax

Practice location:
  • Phone: 406-657-3629
  • Fax:
Mailing address:
  • Phone: 406-657-3629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03438695
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License NumberPHA-PHA-LIC-79511
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: